Diagnóstico de criptococosis a partir de lesiones cutáneas / Diagnosis of cryptococcosis in cutaneous lesions
Acta bioquím. clín. latinoam
;
44(1): 33-36, ene.-mar. 2010. ilus
Article
in Spanish
| LILACS
| ID: lil-633106
RESUMEN
Se realizó el diagnóstico de criptococosis en un paciente con lesiones cutáneas de aspecto moluscoide, presentes en gran número en el rostro, sospechadas clínicamente de ser provocadas por Histoplasma capsulatum. El paciente, posteriormente diagnosticado como VIH positivo, presentó además Cryptococcus neoformans en el LCR y fue tratado con anfotericina B endovenosa. Con material obtenido por escarificación de las lesiones se realizaron extendidos y practicaron cultivos. Aplicadas a los extendidos, las coloraciones de Giemsa, Grocott y mucicarmín de Mayer, permitieron la observación de levaduras redondas y capsuladas que en los cultivos en agar semillas de girasol desarrollaron colonias de color pardo que correspondieron a Cryptococcus neoformans.
ABSTRACT
Diagnosis of cryptococcosis was performed in a patient with multiple cutaneous Muluscum contagiosumlike lesions in the face, clinically suspected as produced by Histoplasma capsulatum. The patient, after being diagnosed HIV positive, also showed Cryptococcus neoformans in the CSF, and was treated with intravenous amphotericin B. Clinical samples from the skin lesions were obtained and smears stained by Giemsa, Grocott and Mayer's mucicarmin were performed. Part of these samples, obtained by scrapping the ulcers, were suspended in isotonic saline solution and cultivated in Sabouraud dextrose agar and sunfloweragar; Cryptococcus neoformans colonies were identified.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Cryptococcosis
/
Cryptococcus neoformans
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Humans
/
Male
Country/Region as subject:
South America
/
Argentina
Language:
Spanish
Journal:
Acta bioquím. clín. latinoam
Journal subject:
Bioqu¡mica
/
Qu¡mica Cl¡nica
Year:
2010
Type:
Article
Affiliation country:
Argentina
Institution/Affiliation country:
Hospital de Enfermedades Infecciosas "Francisco Javier Muñiz"/AR
/
Universidad Nacional de La Plata/AR
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